Table 4.
Net benefit of risk-stratified screening for common cancer screening approaches for a marker that does not distinguish between incidence and mortality.
| Screening approach | NWS | NWD-1 | Marker AUC = 0.75 | Marker AUC = 0.65 | |||||||
|---|---|---|---|---|---|---|---|---|---|---|---|
| Marker that does not discriminate between mortality and incidence | Highest net benefit for marker that discriminates between mortality and incidence | Marker that does not discriminate between mortality and incidence | Highest net benefit for marker that discriminates between mortality and incidence | ||||||||
| Screen all | Screen 50% | Screen 33% | Screen 10% | Screen 50% | Screen 33% | Screen 10% | |||||
| PSA | 500 | 10 | 4.00 | 3.80 | 3.36 | 1.78 | 4.20 | 3.20 | 2.34 | 1.00 | 3.60 |
| Pap Smear | 1500 | 30 | 0.67 | 0.73 | 0.67 | 0.37 | 1.40 | 0.60 | 0.45 | 0.20 | 1.27 |
| Mammography | 500 | 20 | 4.85 | 4.48 | 3.93 | 2.06 | 4.50 | 3.80 | 2.77 | 1.17 | 3.81 |
| Mammography (alternative I) | 350 | 15 | 3.94 | 4.01 | 3.61 | 1.96 | 4.03 | 3.33 | 2.46 | 1.07 | 3.35 |
| Mammography (alternative II) | 500 | 10 | 4.70 | 4.36 | 3.83 | 2.01 | 4.39 | 3.69 | 2.69 | 1.14 | 3.72 |
| Lung CT | 350 | 15 | −1.19 | −0.10 | 0.17 | 0.26 | 0.44 | - | - | - | - |
Bold values denote the strategy with the highest net benefit.